Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $80.09 / $81.64	Facility		$78.56	$80.09	$81.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $81.64 / $115.53	Professional		$69.31	$81.64	$115.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $83.72 / $104.75	Professional		$83.72	$83.72	$104.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.92 / $175.92 / $175.92	Facility		$175.92	$175.92	$175.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $103.32	Professional		$75.42	$75.42	$103.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $324.25 / $709.25 / $835.62	Facility		$324.25	$709.25	$835.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $888.80 / $910.13 / $989.55	Professional		$888.80	$910.13	$989.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $117.53 / $175.92	Facility		$42.49	$117.53	$175.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $148.76 / $175.92	Professional		$42.49	$148.76	$175.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.92 / $193.51 / $395.82	Professional		$175.92	$193.51	$395.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $117.53 / $175.92	Facility		$42.49	$117.53	$175.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $109.70	Professional		$75.42	$75.42	$109.70
United Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $79.31 / $94.43	Professional		$54.85	$79.31	$94.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $175.92	Professional		$79.04	$79.04	$175.92